Individual
DR. SEAVER LEE SOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037
(858) 554-8645
(619) 363-3302
Mailing address
2044 W CALIFORNIA ST, SAN DIEGO, CA 92110-2121
(619) 363-3940
(619) 330-2245
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A95148
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A95148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A951480
BLUE SHIELD OF CA
CA
05
—
00A951480
—
CA
Enumeration date
07/04/2006
Last updated
10/17/2018
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